Related Experiment Video
Updated: Jan 10, 2026
Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
Published on: October 22, 2014
The My PAD study for patient-reported outcomes for peripheral vascular intervention in the Vascular Quality
Daniel J Bertges1, Matthew A Corriere2, Jessica P Simons3
1Division of Vascular Surgery and Endovascular Therapy, University of Vermont Medical Center, Burlington, VT.
Objective:
To conduct a multicenter pilot program, My Peripheral Arterial Disease (My PAD), for the collection of patient-reported outcomes (PROs) from patients undergoing peripheral vascular intervention (PVI) within the Vascular Quality Initiative.
Methods:
Ten centers within the Society for Vascular Surgery Vascular Quality Initiative PVI Registry collected health-related quality-of-life (HR-QoL) surveys using a modified version of the Vascu-QoL-6 (VQ-6) and the EuroQoL-5D-5L (EQ-5D-5L) at three time periods: preoperative, early follow-up (1-3 months), and late follow-up (9-15 months) from April 1, 2021 to June 30, 2024. A variety of workflows including automated emails to patients were used. Survey completion rates and HR-QoL score changes were analyzed using paired Wilcoxon tests.
Results:
Among 5845 eligible PVI procedures, 440 (7.5%) had a completed preoperative PRO. Of the patients who filled out a preoperative surveys, 247 (56.1%) had an early survey, and 104 (23.6%) completed all three time points. Successful collection of surveys varied across centers (preoperative 0.2%-29%, early follow-up 27%-89% of preoperative, and late follow-up 5%-60% of preoperative). Mean EQ-5D-5L scores significantly improved from preoperative to early follow-up (-2.7, P < .01) and preoperative to late follow-up (-2.9, P < .01) in the subset of 104 patients. VQ-6 scores increased from preoperative to early follow-up (+5.4, P < .01) and preoperative to late follow-up (+4.9, P < .01). Meaningful improvements in VQ-6 scores were observed for patients with claudication (N = 104) and chronic limb-threatening ischemia (N = 143) at early follow-up. No overall drop-off was observed at late follow-up (mean EQ-5D-5L + 0.5, P = .12 and VQ-6 - 0.6, P = .22).
Conclusions:
The My PAD pilot study demonstrates that the collection of PROs in the form of HR-QoL surveys is possible but challenging. Successful collection of PROs requires substantial resources and hands-on effort by motivated and dedicated vascular practices. PRO collection provided clinically meaningful insight with an improvement in HR-QoL scores after endovascular revascularization. Future efforts should focus on supporting multimodal implementation, including data collection directly from patient, integrated data collection within electronic medical records, and aligning financial incentives in an effort to make patient-centered outcomes a routine part of PAD quality assessment.
More Related Videos
13:48Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
Published on: April 21, 2023
14:52Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
01:26Peripheral Artery Disease IV: Nursing Management
01:27Peripheral Artery Disease III: Interprofessional Care
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
01:30Peripheral Artery Disease I: Introduction
01:27Assessment of the Cardiovascular System III: Palpation
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...